在被诊断患有抑郁症的青少年中,信任,歧视和偏好共享决策:中国心理健康专业人员的含义
Yuqing He1, Xiangmin Tan1, Jianjian Wang2
1Xiangya School of Nursing, Central South University, Changsha, China.
Patient education and counseling
|January 17, 2024
概括
中国的心理健康专业人员普遍赞成抑郁症青少年的共同决策 (SDM),特别是在家庭参与方面. 然而,愿意分享药物信息和制定治疗计划需要改进,受信任和歧视的影响.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年健康 青少年健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于医疗保健提供者对患有抑郁症的青少年共享决策 (SDM) 的偏好存在有限的研究.
- 了解这些偏好对于有效的以患者为中心的护理至关重要.
研究的目的:
- 调查中国心理健康专业人员 (MHPs) 对于被诊断患有抑郁症的青少年的SDM的偏好.
- 确定MHP的SDM偏好与他们对患者的信任程度以及对精神疾病患者的歧视之间的关系.
主要方法:
- 一项涉及中国581家MHP的横截面研究.
- 使用临床决策风格-工作人员 (CDMS-S) 规模来确定SDM偏好.
- 使用医生对患者信任度量表 (PTPS) 评估信任,使用社会距离到精神疾病度量表 (SDSMI) 评估歧视.
主要成果:
- 大多数家庭成员对家庭参与 (FI) 的偏好很高,对信息共享 (IN) 的偏好适度,但对参与决策 (PD) 的偏好较低.
- 偏好因决策主题而异,与与药物相关的决策相比,与工作相关的决策的偏好更高.
- 后勤回归表明,对PD的偏好与歧视有关,IN与信任和歧视有关,FI与信任和歧视有关.
结论:
- 虽然MHP通常支持SDM,但他们愿意共同开发药物计划并分享健康信息需要加强.
- 建立信任的治疗关系和理性地承认抑郁症是促进SDM偏好的关键.
- 建议进行与SDM相关的培训,以改善MHP之间的SDM实施.
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